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Implants
Verifying impression fixtures are fully seated in impressions
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<blockquote data-quote="JohnWilson" data-source="post: 328444" data-attributes="member: 213"><p>There are many strategies to limit human error on reseating impression copings. Everything starts with your client.</p><p></p><p>1) Use the correct coping for the type of impression (some closed tray are way better than others)</p><p>2) Use an impression material that has a high tear resistance and time the impression to the IFU</p><p>3) When using a closed try coping make sure it does not come in contact or bottom out on the tray (this often leads to tray flex)</p><p>4) Have the client take an x-ray and send it to the lab for every case (this confirmation of seat is the first variable to KNOW)</p><p>5) Unless the client is affixing the analog to the impression coping before sending you the case tell them not to reinsert the coping into the impression ever.</p><p></p><p>As for the lab end all the tips here share above my reply have great value, this is what we do in my lab.</p><p></p><p>1) Compare coping sent matches the coping shown in the x-ray sent. (This helps tremendously when more than one implants are captured with different height impression copings used)</p><p>2) Inspect impression with high magnification to eliminate any potential imp material to hold up a fully seated coping.</p><p>3) Take photos and communicate potential issues with clients BEFORE you get it returned for rotational issues</p><p>4) After model is fabricated we will often slice the impression horizontally through the head of the impression coping to create a window and reseat the impression to confirm visually.</p><p>5) Most important for Z axis errors, Visualize the analog used FULLY seats on the coping, prior to pouring the model. Many cheaper analogs will contribute to this error with thicker anodizing/coating and poor quality control but ALL analogs need to be verified.</p></blockquote><p></p>
[QUOTE="JohnWilson, post: 328444, member: 213"] There are many strategies to limit human error on reseating impression copings. Everything starts with your client. 1) Use the correct coping for the type of impression (some closed tray are way better than others) 2) Use an impression material that has a high tear resistance and time the impression to the IFU 3) When using a closed try coping make sure it does not come in contact or bottom out on the tray (this often leads to tray flex) 4) Have the client take an x-ray and send it to the lab for every case (this confirmation of seat is the first variable to KNOW) 5) Unless the client is affixing the analog to the impression coping before sending you the case tell them not to reinsert the coping into the impression ever. As for the lab end all the tips here share above my reply have great value, this is what we do in my lab. 1) Compare coping sent matches the coping shown in the x-ray sent. (This helps tremendously when more than one implants are captured with different height impression copings used) 2) Inspect impression with high magnification to eliminate any potential imp material to hold up a fully seated coping. 3) Take photos and communicate potential issues with clients BEFORE you get it returned for rotational issues 4) After model is fabricated we will often slice the impression horizontally through the head of the impression coping to create a window and reseat the impression to confirm visually. 5) Most important for Z axis errors, Visualize the analog used FULLY seats on the coping, prior to pouring the model. Many cheaper analogs will contribute to this error with thicker anodizing/coating and poor quality control but ALL analogs need to be verified. [/QUOTE]
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